Document Detail


Disseminated pneumococcal infection with pericarditis and cardiac tamponade: report of one case.
MedLine Citation:
PMID:  16640005     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 1-year-5-months-old female who had cough, rhinorrhea and prolonged fever for 19 days was admitted to the intensive care unit due to exertional dyspnea. She was intubated promptly in virtue of hypotension and cyanosis. The physical examination demonstrated diminished breathing sound over the right lung and distant heart sound; echocardiogram showed cardiac tamponade. Further X ray study showed right hydropneumothorax and cardiomegaly. Pericardiocentesis and chest thoracostomy were performed, and subsequently all the cultures showed growth of Streptococcus pneumoniae. Antibiotics therapy was started promptly after admission. Further investigation indicated osteomyelitis of the right ilium, so that surgical debridement was done. The patient was discharged 54 days later with complete recovery. After following up for 18 months, no restrictive heart disease developed. Purulent pericarditis with cardiac tamponade is an extremely rare complication of pneumococcal infection.
Authors:
Ning-Hui Foo; Chun-Ta Chen; Julie Chi Chow
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta paediatrica Taiwanica = Taiwan er ke yi xue hui za zhi     Volume:  46     ISSN:  1608-8115     ISO Abbreviation:  Acta Paediatr Taiwan     Publication Date:    2005 Sep-Oct
Date Detail:
Created Date:  2006-04-27     Completed Date:  2006-05-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100958202     Medline TA:  Acta Paediatr Taiwan     Country:  China (Republic : 1949- )    
Other Details:
Languages:  eng     Pagination:  301-4     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, Chi Mei Foundation Hospital, Tainan, Taiwan. foo.ninghui@msa.hinet.net
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MeSH Terms
Descriptor/Qualifier:
Cardiac Tamponade / diagnosis,  etiology*,  therapy
Female
Humans
Infant
Pericarditis / diagnosis,  etiology*,  therapy
Pneumococcal Infections / complications*
Pneumococcal Vaccines / immunology
Chemical
Reg. No./Substance:
0/Pneumococcal Vaccines

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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